Tag: coding

On April 14, 2016, the Centers for Medicare & Medicaid Services (CMS) announced its largest-ever initiative to transform and improve how primary care is delivered and paid for in America. The effort, the Comprehensive Primary Care Plus (CPC+) model, will be implemented in up to 20 regions and can accommodate up to 5,000 practices, which […]

The Centers for Medicare & Medicaid Services (CMS) has released the Next Steps Toolkit to help providers track and improve ICD-10 progress. This new, in-depth toolkit includes information and resources on how to: Assess ICD-10 progress using key performance indicators to identify potential productivity or cash flow issues Address opportunities for improvement Maintain progress and keep up-to-date […]

ICD-10 education and training is now at the forefront for long-term care providers. Attaining the specificity and granularity dictated by ICD-10-CM easily and accurately should be top priority. In this 90-minute program, Diane L. Brown, BA, helps participants understand and develop solutions to ICD-10 coding painpoints in the long-term care setting. Brown’s wealth of industry […]

The second most important function an executive and/or a governance board conducts (second only to planning) is risk management. This key leadership function is evolving rapidly primarily due to the evolutionary movement around compliance (ACA, CMS, etc.) and the payer focal shift from episodic, procedural care to outcome or evidenced based care, pay-for-performance, etc. Similarly, as government policy […]

On August 25, 2015, The Centers for Medicare & Medicaid Services issued 2014 quality and financial performance results showing that Medicare Accountable Care Organizations (ACOs) continue to improve the quality of care for Medicare beneficiaries, while generating financial savings. As the number of Medicare beneficiaries served by ACOs continues to grow, these results suggest that […]

Earlier in July, CMS sent a letter out to Medicare providers. The letter was sent as a reminder that in order to successfully bill for services, ICD-10 codes must be used starting on Oct. 1, 2015. The Medicare claims processing system will not have the capability to accept ICD-9 codes for dates of service after […]

At HCPro, we recognize that long-term care billers are a largely underserved professional population. While long-term care has national associations for nearly every type of nursing home professional, no membership association for billing professionals exists – until now. The soon to be launched HCPro’s Billers’ Association is a national membership community designed specifically for long-term […]

Researchers at the University of Queensland in Australia have found that non-invasive ultrasound can break down the neurotoxic amyloid plaques associated with Alzheimer’s. Their research was published in the journal Science Translational Medicine. Researchers used repeated scanning ultrasound treatments of the mouse brain to remove the amyloid plaques, without the need for any additional therapeutic agent. […]

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Featured Free Resource

Are you prepared to prevent financial burden under PDGM? To ensure success, agencies must take actionable steps now to fully understand exactly how the new Patient-Driven Groupings Model will impact coding scenarios and how these updates will affect revenue cycle.

Free Resources

What will your revenue and expenses look like for a Medicare Part A resident admitted under PDPM? Find out with this free questionnaire from The Association for Medicare Billing and Reimbursement (AMBR) for Long-Term Care.

The way agencies get paid and aspects of almost all areas of business will completely shift under the new Patient-Driven Groupings Model (PDGM). We’ve partnered with industry experts and rounded up crucial action-items you won’t want to overlook as you prepare for this massive change.

Are you prepared to prevent financial burden under PDGM? To ensure success, agencies must take actionable steps now to fully understand exactly how the new Patient-Driven Groupings Model will impact coding scenarios and how these updates will affect revenue cycle.

Complimentary Networking Event for Post-Acute Leaders

Our upcoming Post-Acute Forum takes place November 18 & 19, 2019 in Phoenix, AZ. This complimentary event is specifically designed for decision-makers at skilled nursing facilities and home health agencies.